| NPI | 1407053283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JEFFREY EDINGTON Occupational Therapist 870-424-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR otr1611) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-06-24 |